| New Health Lake Spokane Medical | |
|
5952 Blackstone Way Nine Mile Falls WA 99026 | |
| (509) 464-3627 | |
| (509) 466-9517 |
| Full Name | New Health Lake Spokane Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 5952 Blackstone Way, Nine Mile Falls, Washington |
| Authorized Official Name and Position | Donna Poe (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5099356001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Health Lake Spokane Medical Po Box 808 Chewelah WA 99109-0808 Ph: (509) 935-6001 | New Health Lake Spokane Medical 5952 Blackstone Way Nine Mile Falls WA 99026 Ph: (509) 464-3627 |
| NPI Number | 1831214329 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 1951202373 |
|---|---|
| Medicare Enrollment ID | O20080814000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831214329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | J600317870 (Washington) | Primary |
New Health Lake Spokane Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5952 Blackstone Way #100, Nine Mile Falls, WA 99026 Phone: 509-464-0002 Fax: 509-464-2378 | |
The Suncrest Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5998 Highway 291, #5, Nine Mile Falls, WA 99026 Phone: 509-468-4770 Fax: 509-468-4659 |